{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:15Z","timestamp":1756425735807,"version":"3.44.0"},"reference-count":29,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,15]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>We present a 54-year-old Caucasian woman, who presented with acute symptomatic type B aortic dissection with deteriorating renal function. She was a known smoker with a 2-year history of dysphagia. CT angiography documented the artery of lusoria arising from the mid-thoracic aorta, aneurysmal dilation of her descending aorta, and kinetic and static flaps around her visceral ostia. The patient was managed by s<jats:underline>t<\/jats:underline>aged hybr<jats:underline>i<\/jats:underline>d sin<jats:underline>g<\/jats:underline>le lum<jats:underline>e<\/jats:underline>n <jats:underline>r<\/jats:underline>econstruction and bilateral subclavian to carotid transpositions. During follow-up, there was no aortic rupture or retrograde type A dissection. There were no renal, visceral, cardiac, pulmonary or spinal complications. The patient went off her antihypertensive medication with a normal estimated glomerular filtration rate and accelerated aortic modulation.<\/jats:p>","DOI":"10.1136\/bcr-2021-244137","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T13:10:23Z","timestamp":1629897023000},"page":"e244137","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Staged hybrid single lumen reconstruction (TIGER) with bilateral subclavian transposition coupled with thoracic endovascular aneurysm repair in the management of acute symptomatic complex type B aortic dissection in a patient with arteria lusoria"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8767-4929","authenticated-orcid":false,"given":"Sherif","family":"Sultan","sequence":"first","affiliation":[{"name":"Vascular and Endovascular Surgery, National University of Ireland Galway, Galway, 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